Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,864.40 / $5,132.43 / $18,239.20	Facility		$1,864.40	$5,132.43	$18,239.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,075.00 / $2,063.26 / $6,885.83	Professional		$1,075.00	$2,063.26	$6,885.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $614.00 / $3,277.85 / $8,996.66	Facility		$614.00	$3,277.85	$8,996.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $901.17 / $3,807.59 / $8,203.33	Professional		$901.17	$3,807.59	$8,203.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $3,281.34 / $22,298.17	Facility		$59.40	$3,281.34	$22,298.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $824.73 / $1,178.19 / $2,961.85	Professional		$824.73	$1,178.19	$2,961.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,340.37 / $3,155.21 / $6,353.13	Facility		$1,340.37	$3,155.21	$6,353.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,192.18 / $2,018.54 / $7,597.46	Professional		$1,192.18	$2,018.54	$7,597.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,622.11 / $1,865.43 / $2,463.59	Professional		$1,622.11	$1,865.43	$2,463.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,642.39 / $2,098.61 / $3,978.24	Professional		$1,642.39	$2,098.61	$3,978.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,178.46 / $8,668.18 / $8,668.18	Facility		$3,178.46	$8,668.18	$8,668.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,124.40 / $9,124.40 / $13,686.60	Professional		$9,124.40	$9,124.40	$13,686.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,824.88 / $1,824.88 / $1,824.88	Professional		$1,824.88	$1,824.88	$1,824.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,696.22 / $2,372.34 / $5,527.55	Facility		$1,696.22	$2,372.34	$5,527.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,274.58 / $2,189.86 / $5,594.20	Professional		$1,274.58	$2,189.86	$5,594.20
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,405.32 / $6,405.32 / $6,405.32	Professional		$6,405.32	$6,405.32	$6,405.32
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,459.90 / $1,816.76 / $2,757.59	Professional		$1,459.90	$1,816.76	$2,757.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,824.88 / $1,824.88 / $1,824.88	Facility		$1,824.88	$1,824.88	$1,824.88
United Facility/Professional Professional Modifier Low / Median / High Price $766.45 / $1,044.06 / $4,882.35	Professional		$766.45	$1,044.06	$4,882.35